Individual
JOHN K DERDERIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-5511
Mailing address
555 N DUKE ST, LANCASTER, PA 17602-2250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS011857
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100820028
—
PA
Enumeration date
06/12/2006
Last updated
11/01/2025
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